Anti-Thrombotic Drugs Flashcards
What are the classes of anti-thrombotic drugs?
- Anti-platelet drugs
- Anticoagulants
- Fibrinolytics
What are examples of anti-platelet drugs?
- Aspirin
- Clopidogrel
- Prasugrel
- Ticagrelor
What are examples of anticoagulants?
Subcutaneous :
- Heparin
- Fondaparinux
Oral :
- Warfarin
- Rivaroxaban
- Dabigatran
- Edoxaban
What are examples of fibrinolytic drugs?
- Streptokinase
- Tissue plasminogen activator (tPA)
What do anti-platelet and anti-coagulant drugs prevent?
New thrombosis
What conditions are anti-platelet drugs used in?
- Angina
- Acute myocardial infarction (MI)
- Cerebrovascular accident (CVA)
- Transient ischaemic attack (TIA)
- Patients at high risk of MI and CVA
What are some side effects of anti-platelet drugs?
- Haemorrhage anywhere
- Peptic ulcer leading to haemorrhage
- Aspirin sensitivity leading to asthma
What is the mechanism of action of Clopidogrel, Ticagrelor and Prasugrel?
- They inhibit the binding of ADP to its P2Y12 platelet receptor
- This is thought to block the activation of the glycoprotein IIb/IIIa pathway
- Thereby inhibiting platelet aggregation
What is the mechanism of action of aspirin?
Aspirin irreversibly inhibits cyclo-oxygenase (COX) and blocks the production of thromboxane A2 which is involved in platelet activation and aggregation
What conditions are anti-coagulant drugs like heparin and warfarin used in?
- Deep vein thrombosis (DVT)
- Pulmonary embolism (PE)
- Non-ST elevated myocardial infarction (NSTEMI)
- Atrial fibrillation (AF)
What is a side effect of anti-coagulant drugs?
Haemorrhage anywhere
What is International Normalised Ratio (INR) ?
The International Normalised Ratio (INR) blood test tells you how long it takes for your blood to clot. It is used to test clotting times in people taking warfarin.
How is INR calculated?
By comparing the patient’s prothrombin time (PT) to a reference value - PT is a measure of how long it takes for blood to clot
What is the mechanism of action of Rivaroxaban?
Factor Xa inhibitor
What is the mechanism of action of Dabigatran?
Thrombin factor IIa inhibitor